| Advanced Neurological Diagnostics, Inc. | |
|
1921 Waldemere St Ste 810 Sarasota FL 34239-2943 | |
| (941) 373-1971 | |
| (941) 894-1176 |
| Full Name | Advanced Neurological Diagnostics, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1921 Waldemere St, Sarasota, Florida |
| Authorized Official Name and Position | Patrick Madden (PRESIDENT) |
| Authorized Official Contact | 9413731971 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Neurological Diagnostics, Inc. 1921 Waldemere St Ste 810 Sarasota FL 34239-2943 Ph: (941) 373-1971 | Advanced Neurological Diagnostics, Inc. 1921 Waldemere St Ste 810 Sarasota FL 34239-2943 Ph: (941) 373-1971 |
| NPI Number | 1417218090 |
|---|---|
| Provider Enumeration Date | 05/31/2012 |
| Last Update Date | 09/25/2012 |
| Medicare PECOS PAC ID | 9234386038 |
|---|---|
| Medicare Enrollment ID | O20120830000158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417218090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME113116 (Florida) | Primary |
| Provider Name | Patrick J Madden |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134187073 PECOS PAC ID: 9234171133 Enrollment ID: I20120831000310 |
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